Individual provider Active NPI

Tadeusz W Przechodzki, MD

  • Internal Medicine Physician
  • Yonkers, NY
National Provider Identifier
1437120466
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
150211 Issued in NY
Practice address
127 S Broadway
Suite: Rehab Department
Yonkers, NY 10701-4006
Phone
(914) 591-3271
Fax
(914) 470-2766
NPI assigned
Jan 28, 2006
Last updated
Dec 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 150211 NY Primary

Addresses

Primary practice location

127 S Broadway
Suite: Rehab Department
Yonkers, NY 10701-4006

Mailing address

65 Hampden LN
Irvington, NY 10533-2424
Phone (914) 591-3271

Other identifiers 1

IdentifierTypeStateIssuer
00766601MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819000495 NY Practitioner - Internal Medicine 5799819272 Practice locations: Briarcliff Manor, NY; Ardsley, NY; Yonkers, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1015 Saw Mill River Rd
Ardsley, NY 10502-1118
Phone (914) 591-3271

1611 Pheasant Woods Rd
Briarcliff Manor, NY 10510-2078

1611 Pheasant Woods Rd Unit
Suite 18
Briarcliff Manor, NY 10510-2078

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitive Medical Services, PC Past Accepting new patients
St. John's Riverside Hospital Past Accepting new patients
Docs Physicians Affiliated With Bimc Internal Medicine Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1437120466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HAMPDEN LN",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105332424",
            "telephone_number": "914-591-3271",
            "fax_number": "914-470-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BROADWAY",
            "address_2": "SUITE: REHAB DEPARTMENT",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014006",
            "telephone_number": "914-591-3271",
            "fax_number": "914-470-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZECHODZKI",
        "first_name": "TADEUSZ",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "150211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00766601",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.